Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence

Zhui-feng Guo,1,* Yi Liu,2,* Guang-hui Hu,1 Huan Liu,1 Yun-fei Xu11Department of Urology, 2Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, Shanghai, People’s Republic of China*These authors contributed equally to this workPurpose: To investigate the...

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Autores principales: Guo ZF, Liu Y, Hu GH, Liu H, Xu YF
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:c38fba56d40347e7ae1eab938103dc172021-12-02T02:16:24ZTranscutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence1178-1998https://doaj.org/article/c38fba56d40347e7ae1eab938103dc172014-05-01T00:00:00Zhttps://www.dovepress.com/transcutaneous-electrical-nerve-stimulation-in-the-treatment-of-patien-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Zhui-feng Guo,1,* Yi Liu,2,* Guang-hui Hu,1 Huan Liu,1 Yun-fei Xu11Department of Urology, 2Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, Shanghai, People’s Republic of China*These authors contributed equally to this workPurpose: To investigate the therapeutic effect of transcutaneous electrical nerve stimulation (TENS) on poststroke urinary incontinence (UI).Patients and methods: Sixty-one patients with poststroke UI were enrolled at the Neurology Department in the Shanghai Tenth People’s Hospital of Tongji University between January 2010–January 2011 and were divided into treatment and control groups (n=32 and n=29, respectively). TENS was applied to the treatment group, while the control group received basic therapy. The therapeutic group completed the whole set of TENS therapy with a treatment frequency of 30 minutes once a day for 60 days. The positive electrode was placed on the second lumbar spinous process, and the negative electrodes were inside the middle and lower third of the junction between the posterior superior iliac spine and ischia node. The overactive bladder symptom score, Barthel Index, and urodynamics examination were estimated before and after therapy in both groups.Results: The daily micturition, nocturia, urgent urination, and urge UI in the treatment group significantly improved compared to the control group (P<0.05). The patients in the treatment group were superior in the self-care ability of daily living and also had an advantage over the indexes on maximum cystometry volume, flow rate, and the pressure of detrusor in the end of the filling phase.Conclusion: TENS improved incontinence symptoms, enhanced the quality of life, and decreased adverse effects; hence, it is recommended in treating poststroke UI.Keywords: stroke, urinary incontinence, OABSS, Barthel Index, urodynamics, transcutaneous electrical nerve stimulationGuo ZFLiu YHu GHLiu HXu YFDove Medical Pressarticlestrokeurinary incontinenceOABSSBarthel Indexurodynamicstranscutaneous electrical nerve stimulationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 851-856 (2014)
institution DOAJ
collection DOAJ
language EN
topic stroke
urinary incontinence
OABSS
Barthel Index
urodynamics
transcutaneous electrical nerve stimulation
Geriatrics
RC952-954.6
spellingShingle stroke
urinary incontinence
OABSS
Barthel Index
urodynamics
transcutaneous electrical nerve stimulation
Geriatrics
RC952-954.6
Guo ZF
Liu Y
Hu GH
Liu H
Xu YF
Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
description Zhui-feng Guo,1,* Yi Liu,2,* Guang-hui Hu,1 Huan Liu,1 Yun-fei Xu11Department of Urology, 2Department of Neurology, Shanghai Tenth People’s Hospital, Tongji University, Shanghai, People’s Republic of China*These authors contributed equally to this workPurpose: To investigate the therapeutic effect of transcutaneous electrical nerve stimulation (TENS) on poststroke urinary incontinence (UI).Patients and methods: Sixty-one patients with poststroke UI were enrolled at the Neurology Department in the Shanghai Tenth People’s Hospital of Tongji University between January 2010–January 2011 and were divided into treatment and control groups (n=32 and n=29, respectively). TENS was applied to the treatment group, while the control group received basic therapy. The therapeutic group completed the whole set of TENS therapy with a treatment frequency of 30 minutes once a day for 60 days. The positive electrode was placed on the second lumbar spinous process, and the negative electrodes were inside the middle and lower third of the junction between the posterior superior iliac spine and ischia node. The overactive bladder symptom score, Barthel Index, and urodynamics examination were estimated before and after therapy in both groups.Results: The daily micturition, nocturia, urgent urination, and urge UI in the treatment group significantly improved compared to the control group (P<0.05). The patients in the treatment group were superior in the self-care ability of daily living and also had an advantage over the indexes on maximum cystometry volume, flow rate, and the pressure of detrusor in the end of the filling phase.Conclusion: TENS improved incontinence symptoms, enhanced the quality of life, and decreased adverse effects; hence, it is recommended in treating poststroke UI.Keywords: stroke, urinary incontinence, OABSS, Barthel Index, urodynamics, transcutaneous electrical nerve stimulation
format article
author Guo ZF
Liu Y
Hu GH
Liu H
Xu YF
author_facet Guo ZF
Liu Y
Hu GH
Liu H
Xu YF
author_sort Guo ZF
title Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
title_short Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
title_full Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
title_fullStr Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
title_full_unstemmed Transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
title_sort transcutaneous electrical nerve stimulation in the treatment of patients with poststroke urinary incontinence
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/c38fba56d40347e7ae1eab938103dc17
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